NURS 305 EAQ QUESTIONS EXAM WITH GUARANTEED ACCURATE ANSWERS
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NURS 305 EAQ
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NURS 305 EAQ
NURS 305 EAQ QUESTIONS EXAM
NURS 305 EAQ QUESTIONS EXAM WITH GUARANTEED ACCURATE ANSWERS
Which intervention would be most effective for compromised skin integrity?
1. preventing breakdown
2. administer medication
3. implement wound care
4. monitor wound healing - ACCURATE ANSWERS Ans: ...
NURS 305 EAQ QUESTIONS EXAM
NURS 305 EAQ QUESTIONS EXAM WITH GUARANTEED ACCURATE ANSWERS
Which intervention would be most effective for compromised skin
integrity?
1. preventing breakdown
2. administer medication
3. implement wound care
4. monitor wound healing - ACCURATE ANSWERS✔✔ Ans: 1
Rationale: The most effective intervention for compromised skin
integrity and wound care is prevention of skin breakdown. Whereas
administering medication, implementing wound care, and monitoring
wound healing are all important nursing actions, prevention is the first
step.
,A long-term care facility encourages nurses to assess patients at risk of
developing pressure injuries based on six subscales: moisture, sensory
perception, activity, mobility, nutrition, and friction or shear force.
Which tool is the LTC facility using for risk assessment of pressure
injury development?
1. Gaskin's Nursing Assessment of Skin Color (GNASC) tool
2. Braden Scale
3. Bates-Jensen Wound Assessment Tool (BWAT)
4. Wound, Ostomy, and Continence Nurses Society (WOCN) scale -
ACCURATE ANSWERS✔✔ Ans: 2
Rationale: The Braden Scale is a widely used tool for risk assessment of
pressure injury development and is composed of six subscales. The
GNASC tool is used to assess stage 1 pressure injuries in patients with
dark skin tone. The BWAT is used to assess wound status. WOCN does
not provide any measurement or assessment tools.
Which criteria does the Braden Scale evaluate?
1. Skin integrity at bony prominences, including any wounds
2. Risk factors that place the patient at risk of pressure injury
3. The amount of repositioning the patient can tolerate
4. The factors that place the patient at risk for poor wound healing -
ACCURATE ANSWERS✔✔ Ans: 2
, Rationale: The Braden Scale measures factors in 6 subscales that can
predict the risk of pressure injury development. It does not assess skin or
wounds, repositioning, or wound healing.
Which intervention is part of the Nursing Interventions Classification
(NIC) for wound care?
1. Reposition patient every 90 minutes
2. Irrigating the wound with a saline solution 2 times per day
3. Avoiding the use of massage around the open area
4. Elevating the head of the patient's bed to no more than 30 degrees -
ACCURATE ANSWERS✔✔ Ans: 2
Rationale: Irrigating the wound is an intervention that supports the
wound care NIC. Repositioning, avoiding massage, and elevating the
head of the bed are interventions that are part of the pressure
management NIC.
The removal of devitalized tissue from a wound describes which
process?
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